We buy gas, oil royalties, sell your gas royalty and oil royalty to royaltypurchaser.com.

n order for us to make a cash offer to you for your gas and oil royalties, we will need some information. After receiving that information, we will contact you and make a cash offer that will be contingent upon the receipt of more detailed information.

Please fill out this form completely and hit submit and we will contact you shortly with a cash offer to buy your oil and gas royalties.

First Name

Last Name:

Email Address:

City:

State:

Country

Phone Number:

Contact me by:

E-mail Phone

Please provide a summary of the amounts you actually received for each of the past 4 months. This information can generally be obtained from your check stubs or tax forms.

Most recent month's net check amount:		Date of check:
1 month prior net check amount:		Date of check:
2 months prior net check amount:		Date of check:
3 months prior net check amount:		Date of check:

Please provide as much of the following information as possible, as it will help us to provide a more accurate cash offer.

Lease Name:

Location City, State:

Your Decimal Interest:

Operator Name:

Legal Description:
(If available)

Copyright (c) Royalty Purchaser 2003
We buy gas, oil royalties, sell your gas royalty and oil royalty to royaltypurchaser.com